NUR 254 OB EXAM 2 QUESTIONS
WITH CORRECT ANSWERS 2025/2026
Infections - ANSWERStemp up to 100.4 is normal during first 24 hrs postpartum
because dehydration. Dehydration greater than 100.4 F after 24 hrs pp indicates
infection
Hemorrhage - ANSWERS-can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
treatment for engorgement - ANSWERSbreastfeed frequently, use warm soaks, apply
warm packs before breastfeeding, apply ice packs between feeding
if client is breastfeeding - ANSWERScalorie needs increase by 200-500 calories/day
- the client may require increased fluids
chorioamnionitis - ANSWERS- inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
Rubra - ANSWERSbright red 1-3 days after delivery
Serosa - ANSWERSbrownish pink discharge 4-10 days
Alba - ANSWERSwhite discharge 11-14 days
Fundal Assessment - ANSWERS-Done to ensure it is contracted, feel location, and tone
(firm or boggy)
- have a client empty bladder
afterpains - ANSWERSCramping pain after childbirth caused by alternating relaxation
and contraction of uterine muscles.
after delivery palpate the fundus - ANSWERSday 1 - u minus 1
day 2 - u minus 2
fundus deviated to the right - ANSWERSassist to empty bladder
Early postpartum hemorrhage - ANSWERS-occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
, clots vs placenta fragments - ANSWERSclots = squeezes between fingers
fragments = stays firm
hypovolemia shock signs - ANSWERSdecreased BP, Increase HR, Increase RR
macrosomia - ANSWERSlarge-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
magnesium sulfate - ANSWERStreatment for preterm labor
stops contractions
magic number - ANSWERS100 bpm
meds to help the uterus contract - ANSWERS-methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
***if given mom these meds and mom is still bleeding surgery may be indicated = D&C
if still containing placenta fragment after D&C - ANSWERShysterectomy
hematoma s/s - ANSWERS-perineal pain ( pressure), edema, rectal pressure, bleeding
= provider needs to be notified; surgical management
thromboplebitis tx for mom with C section - ANSWERSSCD placement
med tx= sub q heparin and lovenox
wound infection s/s - ANSWERS-pain foul smelling drainage
-low grade fever/high fever
- chills, abd tenderness
- erythema
- warmth at the incision
endometritis - ANSWERS-inflammation of the inner lining of the uterus
- mom c/o pelvic pain
- smelling heavy lochia
- elevated temp with chills
- increased WBC ( 20,000-30,000) 12,000-13,00 is ok =inflammation
REEDA assessment - ANSWERSRedness
Edema
Ecchymosis
Discharge
Approximation
WITH CORRECT ANSWERS 2025/2026
Infections - ANSWERStemp up to 100.4 is normal during first 24 hrs postpartum
because dehydration. Dehydration greater than 100.4 F after 24 hrs pp indicates
infection
Hemorrhage - ANSWERS-can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
treatment for engorgement - ANSWERSbreastfeed frequently, use warm soaks, apply
warm packs before breastfeeding, apply ice packs between feeding
if client is breastfeeding - ANSWERScalorie needs increase by 200-500 calories/day
- the client may require increased fluids
chorioamnionitis - ANSWERS- inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
Rubra - ANSWERSbright red 1-3 days after delivery
Serosa - ANSWERSbrownish pink discharge 4-10 days
Alba - ANSWERSwhite discharge 11-14 days
Fundal Assessment - ANSWERS-Done to ensure it is contracted, feel location, and tone
(firm or boggy)
- have a client empty bladder
afterpains - ANSWERSCramping pain after childbirth caused by alternating relaxation
and contraction of uterine muscles.
after delivery palpate the fundus - ANSWERSday 1 - u minus 1
day 2 - u minus 2
fundus deviated to the right - ANSWERSassist to empty bladder
Early postpartum hemorrhage - ANSWERS-occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
, clots vs placenta fragments - ANSWERSclots = squeezes between fingers
fragments = stays firm
hypovolemia shock signs - ANSWERSdecreased BP, Increase HR, Increase RR
macrosomia - ANSWERSlarge-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
magnesium sulfate - ANSWERStreatment for preterm labor
stops contractions
magic number - ANSWERS100 bpm
meds to help the uterus contract - ANSWERS-methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
***if given mom these meds and mom is still bleeding surgery may be indicated = D&C
if still containing placenta fragment after D&C - ANSWERShysterectomy
hematoma s/s - ANSWERS-perineal pain ( pressure), edema, rectal pressure, bleeding
= provider needs to be notified; surgical management
thromboplebitis tx for mom with C section - ANSWERSSCD placement
med tx= sub q heparin and lovenox
wound infection s/s - ANSWERS-pain foul smelling drainage
-low grade fever/high fever
- chills, abd tenderness
- erythema
- warmth at the incision
endometritis - ANSWERS-inflammation of the inner lining of the uterus
- mom c/o pelvic pain
- smelling heavy lochia
- elevated temp with chills
- increased WBC ( 20,000-30,000) 12,000-13,00 is ok =inflammation
REEDA assessment - ANSWERSRedness
Edema
Ecchymosis
Discharge
Approximation
